Laparoscopic hysterectomy

Laparoscopic hysterectomy is a recent operation which was first described in 1989. It is the equivalent of laparoscopic myomectomy in terms of approach and the instruments used; typically, surgery starts using the laparoscope and miniature instruments inserted through the abdomen, and the hysterectomy is completed through the vagina. If appropriate, ovaries are easily removed at the same time.

Laparoscopic hysterectomy is a slow procedure, just like laparoscopic myomectomy. Recovery, however, is relatively fast, and comparable to vaginal hysterectomy. The complication rate is also generally considered to be similar.

	Small abdominal incisions only Suitable if there are pelvic adhesions or ovarian problems (e.g. ovarian cyst) Subtotal hysterectomy possible Relatively fast recovery (similar to vaginal hysterectomy)
	Not suitable if fibroids are very large Longest operating time of all hysterectomies Ureteric injury more common than with other types of hysterectomy

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